Pennsylvania Supports Coordination Agency

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PENNSYLVANIA SUPPORTS COORDINATION AGENCY

Practice address

218 E Wister St
Philadelphia, PA 19144-1827

Phone

(215) 929-1305

Fax

(215) 843-6830

NPI assigned

Aug 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Earlson Satine, B.S.

Title

Executive Director

Phone

(215) 929-1305

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1285000356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E WISTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441827",
            "telephone_number": "215-929-1305",
            "fax_number": "215-843-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E WISTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441827",
            "telephone_number": "215-929-1305",
            "fax_number": "215-843-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA SUPPORTS COORDINATION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "SATINE",
        "authorized_official_first_name": "EARLSON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-929-1305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.